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机器人结直肠手术带教:澳大利亚私营部门的经验。

Preceptorship in robotic colorectal surgery: experience from the Australian private sector.

机构信息

Australian Robotic Colorectal Surgery, Sydney Adventist Hospital, Sydney, NSW, Australia.

University of Sydney (Sydney Medical School), Sydney, NSW, Australia.

出版信息

J Robot Surg. 2024 May 17;18(1):213. doi: 10.1007/s11701-024-01972-0.

DOI:10.1007/s11701-024-01972-0
PMID:38758341
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11101540/
Abstract

This article describes a post-fellowship preceptorship training program to train sub-specialty colorectal surgeons in gaining proficiency in robotic colorectal surgery using a dual-surgeon model in the Australian private sector. The Australian colorectal surgeon faces challenges in gaining robotic colorectal surgery proficiency with limited exposure and experience in the public setting where the majority of general and colorectal surgery training is currently conducted. This training model uses graded exposure with a range of simulation training, wet lab training, and clinical operative cases to progress through both competency and proficiency in robotic colorectal surgery which is mutually beneficial to surgeons and patients alike. Ongoing audit of practice has shown no adverse impacts.

摘要

本文描述了一个 fellowship后导师培训计划,旨在通过在澳大利亚私营部门使用双外科医生模式,培训专业的结直肠外科医生,使其熟练掌握机器人结直肠手术。澳大利亚结直肠外科医生在公共环境中接受机器人结直肠手术培训的机会有限,经验有限,因此面临着获得机器人结直肠手术熟练程度的挑战,而目前大多数普通外科和结直肠外科培训都是在公共环境中进行的。这种培训模式采用分级暴露,结合一系列模拟培训、湿实验室培训和临床手术病例,使外科医生在机器人结直肠手术方面从熟练程度和精通程度上都得到提高,这对外科医生和患者都有利。持续的实践审计表明,没有不利影响。

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引用本文的文献

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本文引用的文献

1
Introducing advanced surgical tasks simulation for surgical training.引入用于外科手术训练的先进手术任务模拟。
Ann Med Surg (Lond). 2022 Apr 4;77:103568. doi: 10.1016/j.amsu.2022.103568. eCollection 2022 May.
2
Competency-Based Education in Minimally Invasive and Robotic Colorectal Surgery.基于能力的微创与机器人结直肠手术教育
Clin Colon Rectal Surg. 2021 May;34(3):155-162. doi: 10.1055/s-0040-1718683. Epub 2021 Mar 29.
3
The importance of surgeons and their peers in adoption and diffusion of innovation: An observational study of laparoscopic colectomy adoption and diffusion in England.外科医生及其同行在创新采用和传播中的重要性:一项关于腹腔镜结肠切除术在英国采用和传播的观察性研究。
Soc Sci Med. 2021 Mar;272:113715. doi: 10.1016/j.socscimed.2021.113715. Epub 2021 Jan 28.
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Detailed cost of robotic-assisted surgery in the Australian public health sector: from implementation to a multi-specialty caseload.澳大利亚公立卫生系统中机器人辅助手术的详细成本:从实施到多专科病例量。
BMC Health Serv Res. 2021 Feb 1;21(1):108. doi: 10.1186/s12913-021-06105-z.
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Laparoscopic Colorectal Surgery Outcomes Improved After National Training Program (LAPCO) for Specialists in England.英国专家的腹腔镜结直肠手术国家培训计划(LAPCO)后,腹腔镜结直肠手术结果得到改善。
Ann Surg. 2022 Jun 1;275(6):1149-1155. doi: 10.1097/SLA.0000000000004584. Epub 2020 Oct 19.
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Learning theories and principles in surgical education and technical learning.学习理论和原则在外科教育和技术学习中。
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Taxonomy of educational objectives and learning theories in the training of laparoscopic surgical techniques in a simulation environment.模拟环境下腹腔镜手术技术培训中的教育目标分类与学习理论
Rev Col Bras Cir. 2018 Oct 18;45(5):e1954. doi: 10.1590/0100-6991e-20181954.
8
Remember: Ambroise Paré (1510-1590) - message for young surgeons.记住:安布鲁瓦兹·帕雷(1510 - 1590)——给年轻外科医生的启示。
Rom J Morphol Embryol. 2018;59(2):637-640.
9
The Effect of Formal Robotic Residency Training on the Adoption of Minimally Invasive Surgery by Young Colorectal Surgeons.正式机器人住院医师培训对年轻结直肠外科医师采用微创手术的影响。
J Surg Educ. 2018 May-Jun;75(3):767-778. doi: 10.1016/j.jsurg.2017.09.006. Epub 2017 Oct 18.
10
Structured training and competence assessment in colorectal robotic surgery. Results of a consensus experts round table.结直肠机器人手术的结构化培训与能力评估。共识专家圆桌会议的结果
Int J Med Robot. 2016 Dec;12(4):634-641. doi: 10.1002/rcs.1731. Epub 2016 Jan 25.